Kuwait Medical Electronic Library

Assessment of eye doses to staff involved in interventional cardiology procedures in Kuwait

Meshari Alnaaimi 1, Mousa Alduaij 2, Faisal Shenawy 2, Musab Algaily 2, Talal Mohammedzein 2, Mohamed Shaaban 3, Madan M Rehani 4

Affiliations

expand

01 November 2021

doi: 10.1007/s00411-021-00929-3

Abstract

In this study, which is the first of its kind in the gulf region, eye doses of interventional cardiologists and nurses were measured using active dosimeters for left and right eyes, in 60 percutaneous coronary interventions in three main hospitals in Kuwait. The dose given in terms of Hp(0.07) per procedure when ceiling suspended screens were used by main operators ranged from 18.5 to 30.3 µSv for the left eye and from 12.6 to 23.6 µSv for the right eye. Taking into account typical staff workload, the results show that the dose limit of 20 mSv/year to the eyes can be exceeded for interventional cardiologists in some situations, which demonstrates the need of using additional effective radiation protection tools, e.g. protective eye spectacles, in addition to the regular and proper use of ceiling suspended screens. With indications of increase in workload, the need for availability of a dedicated active dosimeter for the regular monitoring of eye doses is emphasized.

Keywords: Active dosimeters; Eye doses; Hp(0.07); Interventional cardiology; Radiation protection.

Conflict of interest statement

All authors declare that there is no conflict of Interest.

Figures

Fig. 1 The usual positions of staff during percutaneous coronary intervention (PCI) procedures. The position of the ceiling suspended screen is also indicated but varies with the operator

Fig. 2 Estimated annual eye lens doses, based on a typical annual workload of 1,000 percutaneous coronary intervention (PCI) procedures, for interventional cardiologists and nurses working at Chest Diseases Hospital compared to the annual dose limit of 20 mSv/y as recommended by ICRP and implemented in Kuwait

KMEL References

https://pubmed.ncbi.nlm.nih.gov/

References

1. Antic V, Ciraj-Bjelac O, Rehani M, Aleksandric S, Arandjic D, Ostojic M. Eye lens dosimetry in interventional cardiology: results of staff dose measurements and link to patient dose levels. Radiat Prot Dosim. 2013;154(3):276–284. doi: 10.1093/rpd/ncs236. - DOI - PubMed
1. Behrens R, Dietze G. Monitoring the eye lens: which dose quantity is adequate? Phys Med Biol. 2010;55(14):4047–4062. doi: 10.1088/0031-9155/55/14/007. - DOI - PubMed
1. Carinou E, Ferrari P, Ciraj-Bjelac O, Gingaume M, Merce M, Oconnor U. Eye lens monitoring for interventional radiology personnel: dosemeters, calibration and practical aspects of H p (3) monitoring. A 2015 review. J Radiol Prot. 2015;35(3):R17–R34. doi: 10.1088/0952-4746/35/3/R17. - DOI - PubMed
1. Ciraj-Bjelac O, Rehani M. Eye dosimetry in interventional radiology and cardiology: current challenges and practical considerations. Radiat Prot Dosimetry. 2014;162(3):329–337. doi: 10.1093/rpd/nct291. - DOI - PubMed
1. Ciraj-Bjelac O, Rehani M, Sim KH, Liew HB, Vano E, Kleiman NJ. Risk for radiation-induced cataract for staff in interventional cardiology: is there reason for concern? Catheter Cardiovasc Interv. 2010;76(6):826–834. doi: 10.1002/ccd.22670. - DOI - PubMed
1. Ciraj-Bjelac O, Rehani M, Minamoto A, Sim KH, Liew HB, Vano E. Radiation-induced eye lens changes and risk for cataract in interventional cardiology. Cardiology. 2012;123(3):168–171. doi: 10.1159/000342458. - DOI - PubMed
1. Covens P, Dabin J, De Troyer O, Dragusin O, Maushagen J, Struelens L. Track, calculate and optimise eye lens doses of interventional cardiologists using MEyeDose and MEyeDose_X. J Radiol Prot. 2018;38(2):678–687. doi: 10.1088/1361-6498/aab2e4. - DOI - PubMed
1. Da Silva E, Martin C, Vanhavere F, Buls N. A study of the underestimation of eye lens dose with current eye dosemeters for interventional clinicians wearing lead glasses. J Radiol Prot. 2020;40(1):215–224. doi: 10.1088/1361-6498/ab55ca. - DOI - PubMed
1. Dauer LT, Hamada N, Blakely E. National council on radiation protection and measurements commentary number 26: impact of revised guidance on radiation protection for the lens of the eye. J Am Coll Radiol. 2017;14(7):980–982. doi: 10.1016/j.jacr.2017.05.003. - DOI - PMC - PubMed
1. Domienik-Andrzejewska J, Brodecki M, Zmyślony M. Correlation of eye lens doses and personal dose equivalent measured on the arm of interventional cardiologists for a retrospective assessment of doses to operators’ eye lens. Radiat Prot Dosim. 2020;189(3):271–278. doi: 10.1093/rpd/ncaa039. - DOI - PubMed
1. Ginjaume M, Carinou E, Brodecki M, Clairand I, Domienik-Andrzejewska J, Exner L, Ferrari P, Jovanović Z, Krstic D, Principi S, Van Hoey O, Vanhavere F. Effect of the radiation protective apron on the response of active and passive personal dosemeters used in interventional radiology and cardiology. J Radiol Prot. 2019;39(1):97–112. doi: 10.1088/1361-6498/aaf2c0. - DOI - PubMed
1. Häusler U, Czarwinski R, Brix G. Radiation exposure of medical staff from interventional X-ray procedures: a Multicentre Study. Eur Radiol. 2009;19(8):2000–2008. doi: 10.1007/s00330-009-1388-4. - DOI - PubMed
1. IAEA, RPOP (2017) Radiation protection of medical staff from cataract. https://www.iaea.org/resources/rpop/healthprofessionals/radiology/catara....
1. Kim KP, Miller DL, Balter S, Kleinerman RA, Linet MS, Kwon D, Simon SL (2008) Occupational radiation doses to operators performing cardiac catheterization procedures. Health Phys. 94(3):211–227. 10.1097/01.HP.0000290614.76386.35 - PubMed
1. Krisanachinda A, Srimahachota S, Matsubara K (2017) The current status of eye. lens dose measurement in interventional cardiology personnel in Thailand. Radiol Phys Technol 10(2):142–147. 10.1007/s12194-017-0403-8 - PubMed
1. Koukorava C, Farah J, Struelens L, Clairand I, Donadille L, Vanhavere F, Dimitriou P. Efficiency of radiation protection equipment in interventional radiology: a systematic monte carlo study of eye lens and whole-body doses. J Radiol Prot. 2014;34(3):509–528. doi: 10.1088/0952-4746/34/3/509. - DOI - PubMed
1. Leyton F, Nogueira MS, Gubolino LA, Pivetta MR, Ubeda C (2016) Correlation between scatter radiation dose at height of operator's eye and dose to patient for different angiographic projections. Appl Radiat Isot 117:100–105. 10.1016/j.apradiso.2016.01.013 - PubMed
1. Matsubara K, Takei Y, Mori H, Kobayashi I, Noto K, Igarashi T, Suzuki S, Akahane K (2020) A multicenter study of radiation doses to the eye lenses of medical staff performing non-vascular imaging and interventional radiology procedures in Japan. Phys Med 74:83–91. 10.1016/j.ejmp.2020.05.004 - PubMed
1. Mettler A, Mahesh M, Bhargavan-Chatfield M, Chambers C, Elee J, Frush D, Miller D, Smith J, Vetter R. Patient exposure from radiologic and nuclear medicine procedures in the united states: procedure volume and effective dose for the period 2006–2016. Radiology. 2020;295(2):418–427. doi: 10.1148/radiol.2020192256. - DOI - PubMed
1. Padovani R, Le Heron J, Cruz-Suarez R, Duran A, Lefaure A, Miller D, Sim H, Vano E, Rehani M, Czarwinski R. International project on individual monitoring and radiation exposure levels in interventional cardiology. Radiat Prot Dosim. 2011;144(1–4):437–441. doi: 10.1093/rpd/ncq326. - DOI - PubMed
1. Rehani M, Ciraj-Bjelac O, Vano E, Miller D, Walsh S, Giordano B, Persliden J. ICRP publication 117 radiological protection in fluoroscopically guided procedures performed outside the imaging department. Ann ICRP. 2010;40(6):1–102. doi: 10.1016/j.icrp.2012.03.001. - DOI - PubMed
1. Rehani M, Vano E, Ciraj-Bjelac O, Kleiman N. Radiation and cataract. Radiat Prot Dosim. 2011;147(1–2):300–304. doi: 10.1093/rpd/ncr299. - DOI - PubMed
1. Rizk C, Farah J, Fares G, Vanhavere F (2018) Occupational doses for the first and second operators in lebanese interventional cardiology suites. Radiat Prot Dosim 182(4):438–447. 10.1093/rpd/ncy085 - PubMed
1. Rotunda scientific technologies, LLC (2017) ED3 extremity dosimeter. https://www.rotundascitech.com/products/ed3-extremity-dosimeter.
1. Sánchez RM, Vano E, Fidalgo J, Fernandez JM. Percutaneous structural cardiology: are anaesthesiologists properly protected from ionising radiation? J Radiol Prot. 2020;40(4):1420–1428. doi: 10.1088/1361-6498/abc4d7. - DOI - PubMed
1. Stewart A, Akleyev A, Hauer-Jensen M, Hendry J, Kleiman N, Macvittie T, Aleman B. ICRP publication 118: ICRP statement on tissue reactions and early and late effects of radiation in normal tissues and organs. Ann ICRP. 2012;41(1–2):1–322. doi: 10.1016/j.icrp.2012.02.001. - DOI - PubMed
1. Tsapaki V, Ahmed N, Alsuwaidi J, Beganovic A, Benider A, BenOmrane L, Rada B, Kharita M, Khelassi-Toutaoui N, Manatrakul N, Mirsaidov I, Shaaban UI, Wambani S, Zaman A, Ziliukas J, Zontar D, Rehani M. Radiation exposure to patients during interventional procedures in 20 countries: initial IAEA project results. Am J Roentgenol. 2009;193(2):559–569. doi: 10.2214/AJR.08.2115. - DOI - PubMed
1. Vanhavere F, Carinou E, Domienik J, Donadille L, Ginjaume M, Gualdrini G, Koukorava C, Krim S, Nikodemova D, Ruiz-Lopez N, Sans-Merce M, Struelens L (2011) Measurements of eye lens doses in interventional radiology and cardiology: Final results of the ORAMED project. Radiat Meas. 10.1016/j.radmeas.2011.08.013 - PubMed
1. Vano E, Kleiman N, Duran A, Rehani M, Echeverri D, Cabrera M. Radiation cataract risk in interventional cardiology personnel. Radiat Res. 2010;174(4):490–495. doi: 10.1667/RR2207.1. - DOI - PubMed
1. Vano E, Sanchez RM, Fernandez JM. Estimation of staff lens doses during interventional procedures. Comparing cardiology, neuroradiology and interventional radiology. Radiat Prot Dosim. 2015;165(1–4):279–283. doi: 10.1093/rpd/ncv049. - DOI - PubMed
1. Vano E, Fernandez J, Resel L, Moreno J, Sanchez R. Staff lens doses in interventional urology. A comparison with interventional radiology, cardiology and vascular surgery values. J Radiol Prot. 2016;36(1):37–48. doi: 10.1088/0952-4746/36/1/37. - DOI - PubMed

Show All